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Individual

DR. ZELDA IKULUMET OKIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
515 W MORELAND BLVD, WAUKESHA, WI 53188-2428
(262) 548-7575
(262) 896-8079
Mailing address
515 W MORELAND BLVD, WAUKESHA, WI 53188-2428
(262) 548-7575
(262) 896-8079

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
42266
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32895800
WI
Enumeration date
04/18/2006
Last updated
03/30/2016
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